Podcast: Differential Diagnosis of Idiopathic Hypersomnia

[Sly Saint]

This episode is produced by Sleep Review and is episode 3 of a 5-part series sponsored by Jazz Pharmaceuticals. Visit Jazzpharma.com and SleepCountsHCP.com for more information.

In episode 3, listen as Sleep Review’s Sree Roy and neurologist-sleep specialist Yves Dauvilliers, MD, PhD, discuss:

• Idiopathic hypersomnia can be particularly challenging to diagnose because of its lack of specific biomarkers, as well as its symptoms resembling those of other disorders. How do you differentiate idiopathic hypersomnia from hypersomnias of a specific cause, such as narcolepsy type 1 and type 2, insufficient sleep syndrome, or hypersomnia due to a neurodegenerative disease?
• A minority of people simply need to sleep longer than most, even 10 hours or more, to feel refreshed. How do you determine if that applies to a given person, who may not have a sleep disorder at all?
• How do you differentiate idiopathic hypersomnia from hypersomnia comorbid to psychiatric disorders, such as prolonged sleep time tied to depression?
• At what point in ruling out other disorders should objective sleep testing, such as polysomnography and multiple sleep latency testing, be done?
• Why is idiopathic hypersomnia sometimes confused with sleep-breathing disorders? When would you recommend a CPAP trial to address possible apneas, hypopneas, or respiratory-event related arousals?
• How do you distinguish chronic fatigue syndrome from idiopathic hypersomnia?

https://sleepreviewmag.com/sleep-di...ifferential-diagnosis-idiopathic-hypersomnia/

 

[rvallee]

How do you distinguish chronic fatigue syndrome from idiopathic hypersomnia?

Easily. Nothing alike. Although this still, somehow, actually deserves to be explained. I just hope they do it well.

 

[bobbler]

Easily. Nothing alike. Although this still, somehow, actually deserves to be explained. I just hope they do it well.

indeed - another issue with the fallacislly ‘sensible sounding’ (but flawed) pushing of ‘focus on treating symptoms’ (instead of understanding the overall and the pattern beneath which would involve you not treating patients with disdain and assuming what they sensibly describe is to be ignored rather than treasured as it would/should/has been the break through gif other conditions) but then taking those to lowest common denominators and never seeking to distinguish.

how can you answer any of these if you will only measure sleep in your own limited terms and never check other health stuff.

In fact how can you become expert in sleep if you don’t know the different patterns across all conditions anyway because surely as an area they should be fascinated if they wanted it to be an area of expertise to study how changes in the body like those different conditions and indeed comorbidities and ‘loads’ on top of tgat could indeed cause different pictures in daytime and nighttime patterns of symptoms and findings like tests?